PATIENT SAFETY PRIMERS
Device-related Complications (12)
Diagnostic Errors (2)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (3)
Medication Safety (19)
Medical Complications (15)
Nonsurgical Procedural Complications (2)
Surgical Complications (5)
Transfusion Complications (1)
Australia and New Zealand (3)
North America (61)
Journal Article (18)
Newspaper/Magazine Article (10)
Press Release/Announcement (5)
Web Resource (8)
Epidemiology of Errors and Adverse Events (22)
Active Errors (8)
Latent Errors (1)
Near Miss (3)
Approach to Improving Safety
Health Care Providers (41)
Health Care Executives and Administrators (57)
Non-Health Care Professionals (43)
Setting of Care
Psychiatric Facilities (3)
Residential Facilities (5)
Ambulatory Care (6)
Outpatient Surgery (6)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Adverse Health Events in Minnesota: Ninth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2013.
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
Never events: Utah hospitals saw nearly 60 serious errors in 2007.
May H. Salt Lake Tribune. August 18, 2008.
Hospital Performance Report.
Trenton, NJ: New Jersey Department of Health and Senior Services; March 2012.
Sarasota Memorial Hospital reviewed after restrained patient dies.
Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.
Indiana Medical Error Reporting System.
Indiana State Department of Health.
Sentinel Event Program.
Division of Licensing and Regulatory Services, Maine Department of Health and Human Services.
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008.
Report: hospital errors cost 18 lives.
Rojas-Burke J. Oregonian. January 30, 2007:B01.
Organisation Patient Safety Incident Reports.
National Patient Safety Agency.
Pennsylvania Patient Safety Advisory.
Harrisburg, PA: Patient Safety Authority. ISSN 1941-7144.
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005.
Human Factors and Medical Devices.
Human Factors Engineering Team, Center for Devices and Radiological Health, Office of Communication, Education, and Radiation Programs (OCER), Division of Device User Programs and Systems Analysis (DDUPSA), 1350 Piccard Drive, HFZ-230, Rockville, MD 20850.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
Patient Safety Reporting Initiative.
New Jersey Department of Health and Senior Services.
Adverse Health Care Events Reporting System: What Have We Learned?
St. Paul, MN: Minnesota Department of Health; January 2009.
US Food and Drug Administration.
Delivering Safer Health Care in Western Australia: The Second WA Sentinel Event Report 2005-2006.
East Perth, WA, Australia: Department of Health of Western Australia; 2006.
Patient Safety Toolbox.
Portland, ME: National Academy for State Health Policy.
Diagnostic error in a national incident reporting system in the UK.
Sevdalis N, Jacklin R, Arora S, Vincent CA, Thomson RG. J Eval Clin Pract. 2010;16:1276-1281.
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364